EMD Serono provides complete details about the program at their FertilityLifeLines website.
Download the application and authorization forms below. Print and fax to the numbers shown on the forms.
2. AbbVie Patient Assistance Foundation for Lupron Depot® and Lupron Depot-PED® and Lupaneta Pack®
The AbbVie Patient Assistance Foundation provides AbbVie medicines at no cost to patients experiencing financial difficulties. Eligible patients typically have no healthcare coverage for the requested product and do not have access to alternative sources of coverage or funding. All applications are reviewed on a case-by-case basis to support the AbbVie Patient Assistance Foundation’s purpose of providing products at no cost to individuals in need. To see if you are eligible for assistance, please download and complete the AbbVie Patient Assistance Application.
3. The LIVESTRONG Sharing Hope Program for Female Cancer Patients
LIVESTRONG’s Sharing Hope program for women helps reduce the cost of embryo freezing and egg freezing procedures.
The LIVESTRONG Sharing Hope program, formerly administered by Fertile Hope, is proud to offer assistance to qualified female applicants by providing access to fertility medications donated by EMD Serono, Inc., and discounted services from reproductive endocrinologists across the country.
The Sharing Hope program does not grant direct financial contributions to individuals, but instead has partnered with key organizations, including Mid-Iowa Fertility, to increase access to procedures and treatments intended to preserve the possibility of fertility for certain qualified cancer patients whose medical treatments present the risk of infertility.
LIVESTRONG selects participants for the Sharing Hope program based on the following criteria: